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High sensitivity and specificity of the Pastorex latex agglutination test for Neisseria meningitidis serogroup A during a clinical trial in Niger.

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dc.contributor Epicentre, 8 rue St Sabin, 75011 Paris, France.
dc.creator Borel, T
dc.creator Rose, A M C
dc.creator Guillerm, M
dc.creator Sidikou, F
dc.creator Gerstl, S
dc.creator Djibo, A
dc.creator Nathan, N
dc.creator Chanteau, S
dc.creator Guerin, P J
dc.date 2006-10
dc.date.accessioned 2017-01-31T07:10:03Z
dc.date.available 2017-01-31T07:10:03Z
dc.identifier High sensitivity and specificity of the Pastorex latex agglutination test for Neisseria meningitidis serogroup A during a clinical trial in Niger. 2006, 100 (10):964-9 Trans. R. Soc. Trop. Med. Hyg.
dc.identifier 0035-9203
dc.identifier 16730766
dc.identifier 10.1016/j.trstmh.2006.03.002
dc.identifier http://hdl.handle.net/10144/18359
dc.identifier http://fieldresearch.msf.org/msf/handle/10144/18359
dc.identifier Transactions of the Royal Society of Tropical Medicine and Hygiene
dc.identifier.uri http://dspace.mediu.edu.my:8181/xmlui/handle/10144/18359
dc.description There is a great need for a rapid diagnostic test to guide vaccine choice during outbreaks of meningococcal meningitis in resource-poor countries. During a randomised clinical trial conducted during an epidemic of Neisseria meningitidis serogroup A in Niger in 2003, the sensitivity and specificity of the Pastorex latex agglutination test for this serogroup under optimal field conditions were assessed, using culture and/or PCR as the gold standard. Results from 484 samples showed a sensitivity of 88% (95% CI 85-91%) and a specificity of 93% (95% CI 90-95%). Pastorex could be a good alternative to current methods, as it can be performed in a local laboratory with rapid results and is highly specific. Sensitivity can be improved with prior microscopy where feasible. A study specifically to evaluate the Pastorex test under epidemic conditions, using laboratories with limited resources, is recommended.
dc.language en
dc.rights Archived with thanks to Transactions of the Royal Society of Tropical Medicine and Hygiene
dc.title High sensitivity and specificity of the Pastorex latex agglutination test for Neisseria meningitidis serogroup A during a clinical trial in Niger.


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